基于IMB理论为指导的护理干预措施应用于心房颤动的临床效果

Effect of Nursing Intervention Based on IMB Theory on Atrial Fibrillation

目的探讨基于信息-动机-行为技巧模型(IMB)理论为指导的护理干预措施应用于心房颤动的临床效果。方法选取洛阳市中心医院2017年1月至2019年12月收治的心房颤动患者103例,按随机数字表法分为2组:对照组51例给予常规护理干预,观察组52例给予以IMB理论为指导的护理干预措施。观察2组自我管理情况、治疗依从性、生活质量、国际标准化比值(INR)达标率及并发症发生率。结果与干预前比较,2组干预后在自我管理(药物管理、症状管理、饮食管理以及心理和社会适应状态)各方面的评分明显增高,且观察组增高更为显著,差异有统计学意义(均P<0.05);与干预前比较,2组干预后在治疗依从性(戒烟戒酒、规律运动、合理饮食、医嘱用药)各方面的评分明显增高,且观察组增高更为显著,差异有统计学意义(均P<0.05);与干预前比较,2组干预后在生活质量(心理功能、生理功能、环境适应能力、社会功能)各方面的评分及生活质量总分明显增高,且观察组增高更为显著,差异有统计学意义(均P<0.05);与对照组比较,观察组干预后INR达标率显著升高、并发症发生率显著降低,差异有统计学意义(均P<0.05)。结论基于IMB理论为指导的护理干预措施应用于心房颤动患者临床效果确切,能通过建立良好的护患关系以及指导患者熟悉掌握疾病相关知识等途径有效改善患者自我管理状态,提高治疗依从性及INR达标率。

Objective To investigate the clinical effect of nursing intervention guided by the Information-Motivation-Behavioral Skills(IMB)model on atrial fibrillation.Methods A total of 103 patients with atrial fibrillation admitted to Luoyang Central Hospital from January 2017 to December 2019 were randomly assigned to receive either routine nursing intervention(control group,n=51)or IMB theory-guided nursing intervention(observation group,n=52).Self-management,treatment compliance,quality of life,international normalized ratio(INR)compliance rate and incidence of complications were observed in both groups.Results After intervention,the scores of self-management(drug management,symptom management,diet management and psychological and social adjustment),treatment compliance(smoking cessation,alcohol abstinence,regular exercise,reasonable diet and prescribed medication)and quality of life(psychological function,physiological function,environmental adaptability and social function)increased in both groups,and the increase in the observation group was more significant than that in the control group(P<0.05).In addition,compared with the control group,INR compliance rate increased and complication rate decreased in the observation group(P<0.05).Conclusion Nursing intervention guided by IMB theory has definite efficacy in patients with atrial fibrillation.This measure can effectively improve patients’self-management status,treatment compliance and INR compliance rate by establishing a good nurse-patient relationship and guiding patients to master the disease knowledge.